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1st I ANATOMY & PHYSIOLOGY OF HEART

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Anatomy of the Heart

ALLYSA R. RAMIREZ, PTRP


GROSS ANATOMY OF THE HEART
SIZE Roughly same size as closed fist( 12cm long; 9cm wide;6cm thick)
MASS 250g female; 300g male
SHAPE Cone shape/ inverted pyramid
RESTING LOCATION Diaphragm
LOCATION 2/3 of the mass points at L body’s midline
Atrial ms, ventricular ms, excitatory and conductive fibers

BASE: broad portion (post-sup-R pointing)

APEX: pointed portion( ant-inf- L pointing)


FUNCTIONS OF THE HEART
• Generating blood pressure
• Routing blood
• Ensuring one-way blood flow
• Regulating blood supply
PERICARDIUM
DEFINITION: fibrous connective tissue; encloses/protects the heart
FIBROUS PERICARDIUM SEROUS PERICARDIUM

-outermost layer -innermost


-prevents overstretch -2 types:
-serves as an anchor  Parietal Serous Pericardium – adheres
tightly to fibrous pericardium
 Visceral Serous Pericardium
(Epicardiium) – adheres tightly in the
heart
Pericardial fluid
FUNCTION Decreases the friction of the heart

LOCATION b/n visceral and parietal serous pericardium (pericardial cavity)

(N) AMOUNT 50ml

DECREASED Pericardial Friction Rub (+) Pericarditis

INCREASED Cardiac Tamponade (+) Cardiac Arrest


LAYERS OF THE HEART WALL
EPICARDIUM MYOCARDIUM ENDOCARDIUM
- Outermost - Pumping action - Provides a smooth lining
- Contains blood vessels, - Striated like skeletal for chambers and covers
lymphatics and vessels muscle the valves
that supply the - Cardiac ms tissue = - Minimizes surface friction
myocardium involuntary as blood passes through
- Outermost: mesothelium the heart
- Beneath: fibroelastic - Connective tissue
tissue and adipose tissue
SURFACES OF THE HEART
ANTERIOR (STERNOCOSTAL) RA +RV

POSTERIOR LA + LV
(BASE)

INFERIOR LV + RV
(DIAPHRAGMATIC)
CHAMBERS OF THE HEART
2 ATRIA 2 VENTRICLES
Receiving chambers Pumping Chambers
(+) pectinate muscle (+) trabeculae carnae
(+) auricle (+) papillary ms – attachement of cordae
(+) interatrial septum – oval depression tendinae
*(fossa ovalis), remnant of foramen ovale (+) interventricular septum
(+) ligamentum arteriosum – connects the
PT and Aorta *(ductus arteriosus)
*LV – largest and strongest chamber
HEART VALVES
FUNCTION: Prevents backflow of the blood
AV (ATRIOVENTRICULAR) VALVES/INLET SL (SEMILUNAR )VALVES/OUTLET
(+) tricuspid valve at (R) - regulates blood (+) pulmonic valve - controls blood flow from
flow between the right atrium and right the right ventricle into the pulmonary
ventricle.  arteries

(+) bicuspid valve at (L) - lets oxygen-rich (+) aortic valve - opens the way for oxygen-
blood pass from the left atrium into the left rich blood to pass from the left ventricle into
ventricle.  the aorta
REFERENCES
• Hall, J. (2011). Guyton and Hall textbook of medical physiology.Philadelphia: Saunders
Elsevier.
• Tortora, GJ. Principles of Anatomy and Physiology. Philadelphia: W.B. Saunders
• Snell, Richard S. Clinical Anatomy for Medical Students. Philadelphia: Lippincott-Raven
Publishers.
• Braddom, R. (2011)lL. Physical Medicine & Rehabilitation.4th ed. Saunders.
• O' Sullivan, S. (2007).Physical rehabilitation.5th ed. Philadelphia: F.A. Davis Co.
• Fauci, A. (1998), ed. Harrison's principles of internal medicine. 14th ed. Vol. 1.McGraw Hill.
• Paz, J. (2014), Acute Care Handbook for Physical Therapists 5th ed, Saunders Elsevier
Goodman, C. (2009), Pathology, Implications for Physical Therapists 3rd ed, Saunders
• Elsevier

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